Active NPI
Rocking Horse Childrens Health Center
- Substance Use Disorder Rehabilitation Clinic/Center
- London, OH
National Provider Identifier
1891934618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- ROCKING HORSE CHILDRENS HEALTH CENTER
- Practice address
- 212 N Main St
London, OH 43140-1115 - Phone
- (740) 845-7286
- Fax
- (740) 845-7499
- NPI assigned
- Feb 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shonda E Wallace
- Title
- Cfo
- Phone
- (937) 324-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
212 N Main St
London, OH 43140-1115
Mailing address
651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0277606 | Medicaid | OH |
Other names 4
- Rocking Horse Center
- Rocking Horse Center Madison SUD
- Rocking Horse Community Health Center
- Rocking Horse Community Health Center Madison SUD
National Provider Directory
National Provider DirectoryLocations
212 N Main St
London, OH 43140
Phone (740) 845-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1891934618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 S LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051965",
"telephone_number": "937-324-1111",
"fax_number": "937-525-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N MAIN ST",
"city": "LONDON",
"state": "OH",
"postal_code": "431401115",
"telephone_number": "740-845-7286",
"fax_number": "740-845-7499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKING HORSE CHILDRENS HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-18",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "SHONDA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "937-324-1111"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0277606",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rocking Horse Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rocking Horse Center Madison SUD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rocking Horse Community Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rocking Horse Community Health Center Madison SUD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in London, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.